Pilot study of focused ultrasound for drug-resistant epilepsy.
Cheng-Chia Lee, Chien-Chen Chou, Fu-Jung Hsiao...
https://pubmed.ncbi.nlm.nih.gov/34729772/Actively Recruiting
Led by NaviFUS Corporation · Updated on 2026-04-09
8
Participants Needed
3
Research Sites
21 weeks
Total Duration
Researchers are evaluating the safety, tolerability, and initial effectiveness of low-intensity focused ultrasound LIFU neuromodulation using the NaviFUS System in patients with drug-resistant unilateral or bilateral temporal lobe epilepsy DR-TLE. This pilot study involves adults with epilepsy that has not responded to standard medications, aiming to reduce abnormal brain activity and seizures. Participants will undergo six LIFU treatment sessions over three consecutive weeks. Each treatment uses specific ultrasound exposure settings delivered by the NaviFUS System. Before treatment, patients will be observed and asked to keep a seizure diary for 8 weeks. After completing treatments, there is a 12-week follow-up period to monitor outcomes. Patients may continue their anti-seizure medications throughout the study. Participants will keep a seizure diary throughout the study to track seizure frequency and severity. Researchers will also assess safety by monitoring adverse events for up to 23 weeks. Additional evaluations include EEG scans to observe changes in brain activity, and questionnaires that measure anxiety, depression, and the personal impact of epilepsy. The total study duration includes a 2-month baseline, 3 weeks of treatment, and 12 weeks of follow-up.
CONDITIONS
A Safety, Tolerability, and Preliminary Efficacy of Low-intensity Focused Ultrasound Neuromodulation in Patients With Drug-resistant Epilepsy
S
Sheang-Tze Fung, Ph.D.
A
Arthur Lung, Ph.D.
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NaviFUS Corporation
Lead Sponsor
NaviFUS US LLC
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational Focused Ultrasound | Current Device Options (VNS/RNS) |
|---|---|---|
| What it is | Low-intensity focused ultrasound neuromodulation, delivered with the NaviFUS system targeting mesial temporal lobe regions in adults with drug-resistant temporal lobe epilepsy. | Device-based therapies established in guidelines for drug-resistant temporal lobe epilepsy, including vagus nerve stimulation (VNS) and responsive neurostimulation (RNS), are recommended for adults who meet similar criteria. |
| Role in trial | Investigational device procedure under study; participants receive FUS neuromodulation as the sole active intervention. | Established alternative device-based options for otherwise eligible patients outside the trial. Not studied as a control arm here. |
| Primary use | To modulate cortical neural activity and reduce seizure frequency in adults with drug-resistant temporal lobe epilepsy. | To lower seizure burden and improve quality of life for people with drug-resistant temporal lobe epilepsy through chronic electrical neuromodulation. |
| How it is given/performed | Noninvasive ultrasound exposures to the temporal lobe region using the NaviFUS device. Each session includes up to three 10-minute treatments with 5-minute breaks, targeting regions at least 30 mm beneath the skull bone. | VNS is implanted surgically, delivering chronic stimulation to the vagus nerve. RNS involves surgical implantation with responsive electrical stimulation of epileptogenic brain regions based on detected abnormal activity. |
| Important risks | No serious adverse events reported in small preliminary studies; safety profile in larger clinical populations remains to be confirmed. | VNS and RNS carry risks including surgical complications, device malfunction, infection, and stimulation-related effects. Well-characterized safety profiles established through widespread use. |
| Important limitations | Limited clinical evidence to date, small sample size, and no direct comparison to standard device interventions. Protocol excludes patients with certain skull or brain conditions, implanted devices, or severe psychiatric disorders. | Device therapies require surgical implantation, carry procedural risks, and may not be effective in all patients. Some may not tolerate device stimulation or experience insufficient seizure control, and contraindications exist for certain medical histories. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 8 weeks
Participants keep an 8-week seizure diary to establish baseline seizure frequency before treatment.
Diary entries throughout the period
Duration - 3 weeks
Participants receive 6 focused ultrasound (FUS) treatments over 3 consecutive weeks using the NaviFUS System.
6 treatment visits over 3 weeks
Duration - 12 weeks
Participants are monitored for safety and efficacy outcomes for 12 weeks after treatment completion, continuing seizure diary recordings.
Periodic visits during follow-up
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/31575487/Po-Chun Chu, Hsiang-Yu Yu, Cheng-Chia Lee...
https://pubmed.ncbi.nlm.nih.gov/35581489/NaviFUS Corporation
Lead Sponsor
NaviFUS US LLC
Collaborating Sponsor